Unknown Individual – Family Nurse Practitioner, NPI 1568913614

Unknown Individual is a healthcare provider. based in Youngstown, Ohio. specializing in Family Nurse Practitioner. They hold a License No. LE-00005120 (OH). The NPI Number for Unknown Individual is 1568913614

Main info

Organization
Inactive
10 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1568913614
Phone
Not provided
Address
1044 BELMONT AVE
Deactivation Date
27 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2342327500
Graduation Year
2016 (10 years ago)
PAC ID
5395027684
Group Practice PAC ID
3173899283
Professional Enrollment ID
I20170120002577
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Saint Elizabeth Youngstown Hospital, 1044, Belmont Avenue, Arlington Heights, North Side, Youngstown, Mahoning County, Ohio, 44501, United States

    YOUNGSTOWN, OH 445041006

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $117.

Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.

Last reported payment date: 2024-06-20 • Largest payer in this snapshot: ABBVIE INC. ($99).

Total Amount

$117

General + Research + Ownership

Payments

2

Total payment records

General Amount

$117

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$99
PFIZER INC.$18
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes6257$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 44504)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173899283View full group profile
NameSpecialtyState
-OH
Nurse PractitionerOH
P S Y C H I A T R YOH

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1568913614.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Youngstown, Ohio?
For routing, start with Youngstown, Ohio for Unknown Individual, then verify phone and hours locally.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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